Organization Active NPI

Faith & Hope Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Pasadena, CA
National Provider Identifier
1669677217
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FAITH & HOPE HOSPICE CARE, INC.
Practice address
1575 N Lake Ave Ste 208
Pasadena, CA 91104-2340
Phone
(818) 559-1460
Fax
(818) 559-1466
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vagram Ron Antonian
Title
Owner
Phone
(213) 458-2263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1575 N Lake Ave Ste 208
Pasadena, CA 91104-2340

Mailing address

1575 N Lake Ave Ste 208
Pasadena, CA 91104-2340
Phone (818) 559-1460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070716000770 CA Part A Provider - Hospice 6800996109 Practice locations: Pasadena, CA
O20230822001649 CA Part B Supplier - Clinic/Group Practice 6800996109 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

Hospice certification: CCN 551573

Legal name
FAITH & HOPE HOSPICE CARE INC
Doing business as
FAITH & HOSPICE CARE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 27, 2009
Last certification
Oct 12, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jun 5, 2007 in CA
Enrollment address
1575 N Lake Ave
Ste 208
Pasadena, CA 91104-2340

Care Compare: Hospice

Medicare Care Compare
Listed as
Faith & Hope Hospice Care, IncCCN 551573 · All quality measures
Ownership
For-Profit
Certified
Oct 27, 2009
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2220 W Burbank Blvd
#201
Burbank, CA 91506
Phone (818) 434-3314

144 S 1st St
Ste 200
Burbank, CA 91502

1575 N Lake Ave
Ste 208
Pasadena, CA 91104
Phone (818) 559-1460

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vigen Khojayan Individual Contracted Managing EmployeeMD; Jun 1, 2011
Vagram Antonian Individual 5% Or Greater Direct Ownership Interest Jun 21, 2007
Corporate Director Jun 21, 2007
W-2 Managing Employee Jun 21, 2007
Dennis Laureano Individual W-2 Managing EmployeeDirector of Patient Care Services Feb 28, 2011
Inesa Antonyan Individual W-2 Managing EmployeeAd; Dec 1, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1669677217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 N LAKE AVE STE 208",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042340",
            "telephone_number": "818-559-1460",
            "fax_number": "818-559-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N LAKE AVE STE 208",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042340",
            "telephone_number": "818-559-1460",
            "fax_number": "818-559-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH & HOPE HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "ANTONIAN",
        "authorized_official_first_name": "VAGRAM",
        "authorized_official_middle_name": "RON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-458-2263"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.